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19 例 COVID-19 母亲所生新生儿的临床特征。

Clinical characteristics of 19 neonates born to mothers with COVID-19.

机构信息

Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

出版信息

Front Med. 2020 Apr;14(2):193-198. doi: 10.1007/s11684-020-0772-y. Epub 2020 Apr 13.

Abstract

The aim of this study was to investigate the clinical characteristics of neonates born to SARS-CoV-2 infected mothers and increase the current knowledge on the perinatal consequences of COVID-19. Nineteen neonates were admitted to Tongji Hospital from January 31 to February 29, 2020. Their mothers were clinically diagnosed or laboratory-confirmed with COVID-19. We prospectively collected and analyzed data of mothers and infants. There are 19 neonates included in the research. Among them, 10 mothers were confirmed COVID-19 by positive SARS-CoV-2 RT-PCR in throat swab, and 9 mothers were clinically diagnosed with COVID-19. Delivery occurred in an isolation room and neonates were immediately separated from the mothers and isolated for at least 14 days. No fetal distress was found. Gestational age of the neonates was 38.6 ± 1.5 weeks, and average birth weight was 3293 ± 425 g. SARS-CoV-2 RT-PCR in throat swab, urine, and feces of all neonates were negative. SARS-CoV-2 RT-PCR in breast milk and amniotic fluid was negative too. None of the neonates developed clinical, radiologic, hematologic, or biochemical evidence of COVID-19. No vertical transmission of SARS-CoV-2 and no perinatal complications in the third trimester were found in our study. The delivery should occur in isolation and neonates should be separated from the infected mothers and care givers.

摘要

本研究旨在探讨感染 SARS-CoV-2 母亲所分娩新生儿的临床特征,增加对 COVID-19 围产期结局的认识。19 例新生儿于 2020 年 1 月 31 日至 2 月 29 日期间收入同济医院。其母亲均经临床诊断或实验室确诊为 COVID-19。我们前瞻性地收集并分析了母婴资料。本研究共纳入 19 例新生儿。其中 10 例母亲经咽拭子 SARS-CoV-2 RT-PCR 阳性确诊为 COVID-19,9 例母亲经临床诊断为 COVID-19。分娩在隔离病房进行,新生儿立即与母亲隔离,至少隔离 14 天。无胎儿窘迫发生。新生儿胎龄为 38.6±1.5 周,平均出生体重为 3293±425g。所有新生儿的咽拭子、尿液和粪便 SARS-CoV-2 RT-PCR 均为阴性。母乳和羊水 SARS-CoV-2 RT-PCR 亦为阴性。所有新生儿均未出现 COVID-19 的临床、影像学、血液学或生化证据。本研究未发现 SARS-CoV-2 的垂直传播和妊娠晚期的围产期并发症。分娩应在隔离中进行,新生儿应与感染的母亲和照顾者隔离。

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